Thanks for adding the latest photos and case history.
Her trim has definitely improved improved but still needs to move the toes back at ground level even more. Also needs to stop trimming all the calloused frog material away as you don't want to expose the immature, waxy frog material. Getting the trim as tight as possible will also help her by eliminating any mechanical aspects that are contributing to her discomfort.
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI